Assistant Manager, Regulatory and Patient Safety - Quality Assurance - Full Time 8 Hour Days (Exempt)(Non-Union)

Keck Medicine of USC•Los Angeles, CA

29d•$121,680 - $200,772

About The Position

The Assistant Manager for Regulatory and Patient Safety provides advanced support for day-to-day administrative and operational activities of the patient safety program and the Medical Center's survey readiness for Joint Commission, California Department of Public Health, Centers for Medicare and Medicaid Services, and other accreditation or regulatory agencies. The individual is responsible for working with the Director and the Associate Administrator to ensure effective, efficient and compliant, employee relationships, customer service, performance improvement, compliance with regulatory guidelines, and maintaining intra- and interdepartmental communication. This includes assessing and making recommendations to streamline workflows for continuous improvement. In addition, this individual facilitates root cause analysis (RCA), failure mode and effects analysis (FMEA), safety event investigations, and corrective action planning and implementation. The role also serves as a project manager to facilitate, coordinate, document, and independently manage multiple projects and processes.

Requirements

Req Bachelor’s Degree Health-Related Professions Degree in nursing, healthcare administration, or related field
Req 4 years Minimum of four (4) years of experience in an acute care hospital setting
Req 2 years Minimum of two years of experience in patient safety, risk management, regulatory/accreditation, quality management, performance improvement, and/or management consulting.
Req Strong ability to manage teams of individuals with diverse backgrounds and education/training towards a common objective.
Req Demonstrate skill and sound knowledge of patient safety principles and concepts.
Req Working knowledge of Joint Commission accreditation standards, California Title 22 regulations, and Centers for Medicare and Medicaid Services conditions of participation.
Req Facilitate working sessions with large, cross-functional, multidisciplinary teams.
Req Develop and deliver committee reports.
Req Possess excellent project management skills.
Req Proficiency with MS Office (Including Word, Excel, Outlook, PowerPoint)
Req Registered Nurse - RN (CA Board of Registered Nursing) California Registered Nursing license.
Req Certified Professional in Healthcare Quality - CPHQ (NAHQ) Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CCPS), or Certified Professional in Healthcare Risk Management (CPHRM) certification within 2 years of hire.
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Nice To Haves

Pref Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program

Responsibilities

Manages day-to-day operational and tactical activities of a project.
Develops and delivers progress reports, proposals, requirements documentation and presentations.
Diagnoses task/procedural change issues and helps to resolve the problem.
Proactively manages changes in project scope, identifies any potential crisis or issues and devises contingency plans to mitigate concerns.
Leads development of processes and maintenance of survey, including maximizing the information collected during tracers to proactively improve systems and processes and mitigate risks to patient safety, accreditation and compliance.
Determines the content of status reports and frequency of delivery; analyzes results of the progress reports and troubleshoot problem areas.
Defines project success criteria, communicating that throughout the project team.
Reviews deliverables prepared by the project team.
Understands how to communicate difficult and sensitive information tactfully.
Leads safety event analyses and proactive risk assessments in collaboration with key stakeholders by conducting systematic and thorough assessment, developing and implementing relevant action plans, and evaluating and monitoring for effectiveness.
Performs other duties as assigned or requested.